| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,728 |
4,226 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,074 |
1,052 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,143 |
1,114 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
640 |
632 |
$16K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
458 |
389 |
$14K |
| 99401 |
|
979 |
966 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,303 |
2,208 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
236 |
227 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
67 |
$798.29 |
| 96127 |
|
1,499 |
1,461 |
$394.05 |
| 90461 |
|
440 |
428 |
$347.62 |
| 99384 |
|
14 |
14 |
$266.26 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$240.00 |
| 90686 |
|
439 |
424 |
$92.43 |
| 86580 |
|
38 |
37 |
$76.68 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,737 |
3,605 |
$19.44 |
| 90734 |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,409 |
1,336 |
$0.00 |
| 90651 |
|
128 |
123 |
$0.00 |
| 3008F |
|
21 |
20 |
$0.00 |